Information Collection

Special Priorities Assistance

IC 4943 under ICR 200612-0694-009 · OMB 0694-0057.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0694-0057 can be found here:

Documents and Forms

Document Name Document Type
Form BIS-999 Special Priorities Assistance Form
BIS-999 REQUEST FOR SPECIAL PRIORITIES ASSISTANCE BIS-999.pdf www.bis.doc.gov/DefenseIndustrialBasePrograms/OSIES/DPAS/pdfdocs/DPASFormBIS-999.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Special Priorities Assistance	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 15 CFR 700

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BIS-999	REQUEST FOR SPECIAL PRIORITIES ASSISTANCE	BIS-999.pdf	http://www.bis.doc.gov/DefenseIndustrialBasePrograms/OSIES/DPAS/pdfdocs/DPASFormBIS-999.pdf	Yes	Yes	Fillable Printable

Line of Business: Defense and National Security

Subfunction: Operational Defense

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.